Healthcare Provider Details

I. General information

NPI: 1881577807
Provider Name (Legal Business Name): MILDRED ESPINOZA MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MILLY ESPINOZA MS CCC SLP

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 NORTH LOOP W STE 160
HOUSTON TX
77018-8001
US

IV. Provider business mailing address

2180 NORTH LOOP W STE 160
HOUSTON TX
77018-8001
US

V. Phone/Fax

Practice location:
  • Phone: 832-831-0043
  • Fax: 832-200-2266
Mailing address:
  • Phone: 832-831-0043
  • Fax: 832-200-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number123171
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: